Alaine Diagnostic LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ALAINE DIAGNOSTIC LLC

Practice address

9000 Southwest Fwy Ste 200
Houston, TX 77074-1529

Phone

(832) 746-9758

NPI assigned

Mar 31, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mini VetticadanNPI 1477079556

Title

Owner, Ceo

Phone

(832) 746-9758

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mini Vetticadan, MLS (ASCP)

  • Medical Laboratory Technician
  • Corpus Christi, TX
  • NPI 1477079556
  NPD Authorized official
• Fancimol Pallathumadom, BSN, MBA

  • Registered Nurse
  • Houston, TX
  • NPI 1124618640
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1104454651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 SAGE RD UNIT 2504",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770567183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 SOUTHWEST FWY STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741529",
            "telephone_number": "832-746-9758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3505 Sage Rd Unit 2504",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770567183",
            "country_code": "US",
            "telephone_number": "631-805-4406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALAINE DIAGNOSTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "VETTICADAN",
        "authorized_official_first_name": "MINI",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "832-746-9758"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alain E. Elbaz MD PLLC
• Alain Katic, PA
• Alain LLC
• Omar Ibrahim Alaina
• Alaine Detox Center LLC
• Haitham Soror Alaithan, MD
• Ayo Alaka-Bright
• Anja Alam
• Anjum Alam, M.D.
• Anusha Alam, MD

• All providers in Houston, TX
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.